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Good Guide Health Book


all you want to know about healthy

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  • pg 1
									                                                                                Mississippi Medicaid

                                                      Mississippi Division of

                                                                                Roads to
      Mississippi Division of
                                                                                Good Health
                                                                                Guide Book
                                                                         Call for Information
 You are encouraged to get a                                           1-800-421-2408 (601-359-6050 in Jackson)
   yearly health screening
   from your doctor or clinic.
   This physical examination
     will not be used to deter-
     mine your eligibility for the
     Medicaid program.
                    Office of the Governor

                    Division of Medicaid

                    Robert E. Lee Building

                    Suite 801                          You are encour-
                                                         aged to get a yearly
                    239 North Lamar Street
                                                         health screening
                    Jackson, MS 39201-1399               from your doctor or
                    Phone: 601-359-6050
                         1-800-421-2408                This physical
                                                         examination will not be used to determine your
                    Web: http://www.dom.state.ms.us
                                                         eligibility for the Medicaid program.
                    (Revised 09.29.2010)
                                                               Eat Right ! Exercise! Be Tobacco Free!
    Page 2                                                            How to Prepare for a Storm                          Page 39

                                                                     Also include when you take a medication, the condition for
Dear Friends:                                                        which you take a medication, the name of the doctor who pre-
                                                                     scribed it, and the doctor's phone number. It is best if you are
I encourage you to browse through the following pages of             able to maintain at least a 7-to-14 day supply of essential
Mississippi Medicaid’s Roads to Good Health Guide Book, which        medications (heart, blood pressure, birth control, diabetic, psy-
offers important tips and information on keeping yourself and        chiatric, etc.) and keep this supply with you at all times.
your family healthy. As part of my Healthy Mississippi initiative,   If this is not possible, even maintaining a 3-day supply
this publication is one of the many steps we are taking to pro-      would be extremely helpful.
mote wellness among the citizens of our great state.
                                                                     It would be a very good idea to talk with your doctor or phar-
Mississippians have long understood the importance of commu-         macist about what you should do if you do not have enough
nities. The health of individuals and the overall health of com-     medicine after a disaster and cannot immediately get what you
munities depend on how well we take care of ourselves and our        need. Be sure you ask about the shelf life of your medications
families. Health depends on how well we prevent heart disease,       and the temperatures at which they should be stored.
cancer, stroke, and injury. It also depends on how well we care      If appropriate, add something like the following:
for our neighbors when they are ill or injured. Healthy commu-       A list of conditions a rescuer might need to know about (if you
nities improve our educational system, our productivity at work,     are not sure, list it): diabetes, epilepsy, heart condition, high
the spiritual strength of neighborhoods, and the economic            blood pressure, respiratory condition, HIV positive. "My dis-
health of Mississippi. Healthy communities also offer the best       ability, which is due to a head injury, sometimes makes me ap-
possible future for Mississippi’s children.                          pear drunk. I'm not;" "I have a psychiatric disability; in an emer-
                                                                     gency I may become confused. Help me find a quiet corner and
That’s why I am delighted to share Roads to Good Health Guide        I should be fine in about 10 minutes; if not give me one pill,
Book with you, an informative guide in helping you make better       (name and color of medication) located in my (purse, wallet,
decisions that lead to a healthier, more productive lifestyle. In    pocket, etc.);" "I take Lithium and my blood level needs to be
the following pages, you will read about good nutrition, the im-     checked every _______________;" "My primary language is ASL
portance of physical activity, the effects of alcohol and tobacco    (American Sign Language). I am deaf and not fluent in English;
usage, as well as important Mississippi Medicaid information.        I will need an ASL interpreter. I read only very simple English."
The publication also offers information about your free (or very     Make copies of these cards or sheets and place them in clear
low cost) yearly medical screening, and I strongly encourage         plastic bags to protect them from the elements.
all Medicaid recipients to take advantage of this opportunity on     The elderly and disabled are especially vulnerable during a
an annual basis.                                                     storm emergency. Families and support-givers of the elderly
                                                                     and disabled should have a plan in place prior to a storm or
Again, I hope that you will take the time to read through this       emergency to ensure survival of this fragile population. This
health guide. We are working hard to reduce major health risks       plan should be well-rehearsed and ready to implement in the
like diabetes, obesity, poor diet and oral health, and physical      event of an emergency.
inactivity in our communities through the Healthy Mississippi
initiative, and I am optimistic about our success. By working        The Mississippi Division of Medicaid reminds all Medicaid
together, I know we can shape a healthier future for ourselves,      beneficiaries to follow these and other survival safety tips
our children, and our Mississippi.                                   to “Stay Alert and Stay Alive.”

Governor Haley Barbour
  Page 38                       How to Prepare for a Storm
                                                                       Information                                   Page 3
                                                                       You Can Use!

The following information is provided for informational purposes
only and is not intended to provide the reader with medical ad-       The Road to
vice. If the reader has any questions regarding his or her medical
                                                                      Good Nutrition for Everyone                         4
condition, he or she should seek the advice of a physician or other
appropriate health-care professional.                                 Physical Activity                                  16
                                                                      Ending Tobacco Use                                 17
Medicaid Urges Storm Season Sense
“Stay Alert, Stay Alive” Safety Tips for Beneficiaries                My Medicaid                                        20
                                                                      Medicaid Regional Offices                          21
                                 The Division of Medicaid is ad-
                                 vising all beneficiaries and         Things You Need to Know                            22
                                 beneficiary support-givers to be
                                                                      Medicaid Programs                                  24
                                 ready for this year’s storm sea-
                                 son by taking the following pre-     Medicaid Services                                  25
                                 cautions now:
                                                                      Understanding Copayments                           28
                                 Create an emergency health in-       Reporting Medicaid Fraud                           28
                                 formation card or sheet that com-
                                                                      Miss. Medicaid Medical Home                        29
                                 municates to rescuers what they
                                 need to know about you if they       Your Health - Care Team                            30
                                 find you unconscious or incoher-
                                                                      Your Medication Question Guide                     33
                                 ent, or if they need to quickly
                                 help evacuate you. Make multi-       Your Health - Care Notes                           35
                                 ple copies to keep in your emer-
                                                                      Important Telephone Numbers                        37
                                 gency supply kits, car, work,
                                 wallet, wheelchair pack, etc.        How To Prepare for a Storm                         38

List the following information:                                       This booklet doesn’t have everything you need to know
Your name; street address; city, state, zip; phone numbers            about better health, but it does offer you a lot to get
(home, work, cell); your birth date; blood type; Social Security      you started on your road to a healthier personal life-
Number; your health insurance carrier and Individual and              style.
Group Number (include Medicaid and Medicare numbers); im-
portant numbers and any other insurance numbers; physicians’          Please read it and keep it handy. It can be a helpful
and pharmacies’ names and telephone numbers; the nearest              guide to resources available to you in Mississippi.
hospital and clinic telephone number and address; your emer-
gency contacts; conditions or any disability; a list of any adap-     NOTE: Before beginning your new diet or exercise
tive equipment you use; your allergies and sensitivities; com-
                                                                      program, it is important to check with your health-
munication or cognitive difficulties you may have; and the
names of medications you take and their dosages.                      care provider to see what is right for you!
     Page 4         The Road to Good Nutrition                                                             Page 37
                    for Everyone

What Is a “Healthy Diet”?                                            Date of Visit               Notes

Fruits and vegetables are an important part of a healthy diet.
The health benefits of fruits and vegetables are well known.      Department of Health (Mississippi)
A diet full of fruits and vegetables helps prevent heart dis-          1-800-489-7670 outside Jackson
ease and cancer.                                                       (601) 576-7400 inside Jackson
                                                                       Web: http://www.msdh.state.ms.us
The Food Pyramid can help you understand which foods
(and in what amount) ARE IMPORTANT IN A HEALTHY DIET.             Department of Human Services
The stairs on the side of the pyramid emphasize that exercise
is an important part of a healthy lifestyle.
                                                                       1-800-345-6347 outside Jackson
                                                                       (601) 359-4500 inside Jackson
For more information on the Food Pyramid and to find out               Web: http://www.mdhs.state.ms.us
how much you should eat from each food group based on
your age, activity level, and gender, visit                       Division of Medicaid
www.MyPyramid.gov.                                                       1-800-421-2408 outside Jackson
                                                                         (601) 359-6050 inside Jackson
                                                                         Web: http://www.dom.state.ms.us
                                                                  Department of Mental Health
                                                                       1-877-210-8513 Statewide Help Line
   Half of servings should come from the whole grain group           (601) 359-1288 inside Jackson
      (try brown rice or whole wheat pasta)                            (601) 359-6230 TDD
   Eat at least 3 oz. of whole grain bread, cereal, crackers,        Web: http://www.dmh.state.ms.us
     rice, or pasta each day
   Look for the word “whole” before the grain name on the       Department of Rehabilitation Services
     ingredients list (example: “whole wheat flour”)                   1-800-443-1000 outside Jackson
                                                                       (601) 853-5100 inside Jackson
                                                                       Web: http://www.mdrs.state.ms.us
Page 36                   NOTES:
                                   Information                                          Page 5
                                   You Can Use!

  Date of Visit   Notes

                                    Eat more dark green vegetables*
                                      (examples: spinach, green bell peppers)
                                    Eat more orange vegetables (examples: squash, carrots)
                                    Eat more dried beans and peas (examples: pinto beans,
                                      kidney beans, split peas)

                                    Eat a variety of fruits
                                    Choose fresh, frozen, canned, or dried (no heavy syrup)
                                    Eat whole fruit more often than juice
                                      (go easy on fruit juices)

                                    Know your fats
                                    Get most of your daily fat from fish, nuts, and vegetable
                                      oil (examples: olive, peanut, and canola oil)
                                    Limit solid fats like butter, stick margarine, shortening,
                                      and lard

                                   * Check with your doctor or health-care provider to learn if
                                   this is right for you.
Page 6              The Road to Good Nutrition                      Information                        Page 35
                    for Everyone                                    You Can Use!

                                                                                      Use this section to
                                                                                      record your health-
 Eat or drink fat-free or low-fat milk and other calcium-rich                       care provider visits,
   products (examples: skim milk, cheese, yogurt)
                                                                                      your immunizations,
 If you do not or cannot drink milk products, choose lactose
   -free products or other calcium sources       (examples:                           and your tests.
   soy milk, calcium enriched orange juice)
                                                                      Date of Visit            Notes

Meat & Beans
 Choose fish or low-fat or lean meat and poultry
 Bake, broil, or grill meat; avoid fried foods
 Vary choices with more fish, beans, peas, nuts, and seeds

Physical Activity
Engage in regular physical activity and reduce sedentary ac-
tivities to promote health, psychological well-being, and a
healthy body weight.
Achieve physical fitness by including cardiovascular condi-
tioning, stretching exercises for flexibility, and resistance ex-
ercises or calisthenics for muscle strength and endurance.*
 Adults should be physically active for at least 30 minutes
    each day
 Children should be physically active for 60 minutes each

*Check with your doctor or health-care provider to learn if
this is right for you.
SOURCE: www.MyPyramid.gov
  Page 34                                  Your Medication
                                         Question Guide (2)
                                                                            Information                                          Page 7
                                                                            You Can Use!

Should I avoid any other medicines (prescription or over-the-counter),
dietary supplements, drinks, foods, or activities while using this drug?    Water & Liquids
                                                                            Water and liquids are needed every day. As you get older,
                                                                            you may have less sensitive sensations of thirst and may be
                                                                            more likely to become dehydrated. Vital organs like the kid-
                                                                            neys, brain, and heart can’t function without a certain mini-
When should I notice a difference or improvement? When should I             mum of water and salt.**
report back?                                                                 Drink eight, 8-ounce glasses of water or beverages such
                                                                               as fruit or vegetable juice, low-fat or non-fat milk, or re-
                                                                               duced sodium soup each day
                                                                             Alcoholic beverages should not count towards your
                                                                               water/liquid goal
Will I need to have any testing to monitor this drug's effects?
                                                                            Vitamin D, Calcium, and Vitamin B-12 B-
                                                                            As an older adult, you need to make sure you are getting
                                                                            enough calcium, vitamin D, and vitamin B-12. You need
                                                                            higher levels of calcium and vitamin D to keep your bones
Can this medicine be used safely with all my other medications and          strong.
therapies? Could there be interactions?                                      Non-fat or low-fat milk is a good source of calcium and
                                                                                vitamin D
                                                                             Eat vitamin B-12 fortified foods such as breakfast cereals
                                                                                or supplements
                                                                             Exposure to direct sunlight for about 15 minutes each
What are the possible side effects? What do I do if a side effect occurs?       day will help your body produce the vitamin D you need

                                                                            Special Needs for Older Adults
                                                                            People in the United States enjoy a relatively long life span
How and where do I store this medicine?                                     compared to many other countries in the world. According
                                                                            to the Centers for Disease Control and Prevention, average
                                                                            life expectancy for an American child born in 2005 is around
                                                                            77.2years.* Many people live healthy lives far beyond this.
Where and how can I get written information about this medicine?
What other sources of information can I use to learn about this medi-       As we age, our nutritional and physical activity needs
cine?                                                                       change. It’s a good idea to talk to your doctor about specific
                                                                            needs that are appropriate for your age and lifestyle.
                                 SOURCE: U.S. Food and Drug
                                 Administration • Center for Drug
                                 Evaluation and Research
                                 Call 1-888-INFO-FDA or go to                *www.cdc.gov
                                 www.fda.gov/cder/                          **www.quickcare.org/gast/dehydrate.html
Page 8               The Road to Good Nutrition                      Your Medication                                            Page 33
                     for Everyone                                    Question Guide

Key Recommendations for Specific Population Groups
   Children and adolescents. Consume whole grain prod-            Ask your health-care provider these questions about each new medicine
     ucts often; at least half the grains should be whole grains.   which is recommended or prescribed. Write the answers in the spaces
                                                                    provided. Use a separate sheet for each medicine.
     Children 2 to 8 years should consume 2 cups per day of
     fat-free or low-fat milk or equivalent milk products. Chil-
     dren 9 years of age and older should consume 3 cups
     per day of fat-free or low-fat milk or equivalent milk         Name of Medicine______________________________________
     products.                                                      What are the brand and generic names of the medicine?

Fruits, vegetables, whole grains, and milk products are all
important to a healthy diet and can be good sources of re-          Can I use a generic form?
quired nutrients. When increasing intake of fruits, vegeta-
bles, whole grains, and fat-free or low-fat milk and milk
products, it is important to decrease one's intake of less-
nutrient-dense foods to control calorie intake. The 2,000-
calorie level used in the discussion is a reference level only;
it is not a recommended calorie intake because many Ameri-          What is the medicine for and what effect should I expect?
cans should be consuming fewer calories to maintain a
healthy weight.
Meal portion control is very important. Read packaging and
labels to see what the portion size is for that item. Remem-        Does this drug replace any other medicine I have been using?
ber, a serving size for meat is about the size of a deck of
cards. “Super-sized” portions have multiple servings in

Key Recommendations                                                 How and when will I use it, what amount will I use, and for how long?
   Choose fiber-rich fruits, vegetables, and whole grains
   Choose and prepare foods and beverages with little
     added sugar or caloric sweetener, such as amount
     suggested by the USDA Food Guide                               What do I do if I miss a dose?
   Reduce the incidence of dental decay by practicing
     good oral hygiene and consuming fewer foods and
     beverages containing sugar and starch

SOURCE: www.health.gov/dietaryguidelines                                                             (over)
     Page 32                    Be an Active Member of Your                    Information                                                    Page 9
                                          Health-Care Team!                    You Can Use!

FOLLOW DIRECTIONS                                                              Foods that contain most of the added sugars in American diets are
When you are ready to use the medicine, maximize the benefits and                 regular soft drinks                   Milk-based desserts and
minimize the risks by following the instructions printed on the drug              candy                                   products, such as ice
label:                                                                                                                      cream, sweetened yogurt,
                                                                                  cakes
                                                                                                                            and sweetened milk
  Read the label every time you fill your prescription--before you              cookies
leave the pharmacy. Be sure you have the right medicine and                                                               Grain products, such as
                                                                                  pies
understand how to use it                                                                                                    sweet rolls and cinnamon
                                                                                  fruit drinks                            toast
   Read the label every time you are about to use the medicine--to be
sure it's the right medicine, for the right patient, in the right amount, in
the right way, at the right time                                                                                Go lean with protein —
                                                                                                                Start with a lean choice
 Take the recommended dose exactly as prescribed--no matter how
tempted you are to use more to feel better faster                                                                  The leanest beef cuts include
                                                                                                                round steaks and roasts (round eye,
  Finish all the medicine as directed--even if you start to feel better
                                                                                                                top round, bottom round, round tip),
before all your medicine is completed
                                                                                                                top loin, top sirloin, and chuck shoul-
                                                                                                                der and arm roasts
REPORT BACK TO THE TEAM                                                           The leanest pork choices include pork loin, tenderloin, center
Pay attention to how you feel and notify your health-care team of any          loin, and ham
problems.                                                                         Choose extra lean ground beef. The label should say at least
If you have doubts that the medicine is working effectively, don't stop        “90% lean.” You may be able to find ground beef that is 93% or 95%
taking it without checking with the team. Some medications take longer         lean
to show a benefit, and some need to be withdrawn gradually to                     Buy skinless chicken parts, or take off the skin before cooking
decrease undesirable effects. If you experience a side effect, let your
health-care team know immediately. An adjustment in the dosage or a               Boneless skinless chicken breasts and turkey cutlets are the
change in medication may be needed.                                            leanest poultry choices
                                                                                Choose lean turkey, roast beef, ham, or low-fat luncheon meats
                                                                               for sandwiches instead of luncheon meats with more fat, such as
Question Guide                                                                 regular bologna or salami
                                 Use this guide to gather the information
                                 you need to know from your health-care        Keep it lean
                                                                                 Trim away all of the visible fat from meats and poultry before
                                                                                  Broil, grill, roast, poach, or boil meat, poultry, or fish instead of
                                                                                  Drain off any fat that appears during cooking
                                                                                 Skip or limit the breading on meat, poultry, or fish. Breading
                                                                               adds fat and calories. It will also cause the food to soak up more fat
                                                                               during frying
                                                                                Prepare dry beans and peas without added fats.
                                                                               Choose and prepare foods without high fat sauces or gravies
Page 10            The Road to Good Nutrition                         Your Mississippi                                       Page 31
                   for Everyone                                       Medicaid Medical Home

Vary your protein choices                                        Ask Questions!
Choose fish more often for lunch or dinner. Look for fish rich
                                                                 Your health-care team members help you make the best-informed
in omega-3 fatty acids, such as salmon, trout, and herring.
                                                                 choices, but you have to ask the right questions. When you meet
Some ideas are                                                   with a team member, have your questions written down and take notes.
 Salmon steak or filet                                         You may also want to bring along a friend or relative to help you
                                                                 understand and remember the answers.
 Salmon loaf
                                                                 Use the “Question Guide” at the end of this section to help you gather
 Grilled or baked trout                                        the information you need from your health-care team. If you don't
                                                                 understand an answer, ask again.
Choose dry beans or peas as a main dish or part
of a meal often.
                                                                 Learn the Facts!
Some choices are
                                                                 Before you purchase a prescription or over-the-counter medicine,
 Chili with kidney or pinto beans                              learn and understand as much about it as you can, including
 Stir-fried tofu                                                   generic and brand names
 Split pea, lentil, minestrone,
        or white bean soups                                          active ingredients

 Baked beans                                                       proper uses--(indications/contraindications)

 Black bean enchiladas                                             instructions
 Garbanzo or kidney beans on a chef’s salad                        warnings and precautions
 Rice and beans                                                    interactions--with food, dietary supplements, other medicines
 Veggie burgers or garden burgers                                  side effects/adverse reactions
 Hummus (chickpeas) spread on pita bread                           expiration dates
                                                                 Drug information designed for the consumer is available from a variety
Choose nuts as a snack, on salads, or
                                                                 of sources: your pharmacy, the manufacturer, the library, the
in main dishes. Use nuts to replace                              bookstore, and the Internet. If there is something you don't understand,
meat or poultry, not in addition to                              ask your health-care team.
these items:
 Use pine nuts in pesto sauce for
                                                                 BALANCE THE BENEFITS AND RISKS: Make Your Decision!
                                                                                            After you have exchanged all the information,
 Add slivered almonds to steamed                                                          weigh all your options. At this point you must
vegetables                                                                                  decide if the benefits you hope to achieve
 Add toasted peanuts or cashews to a vegetable stir fry                                   from the medicine outweigh its known risks.
instead of meat                                                                             The final choice is yours.
 Sprinkle a few nuts on top of low-fat ice cream or frozen
 Add walnuts or pecans to a green salad instead of
cheese or meat
     Page 30                Be an Active Member of Your             Information                                               Page 11
                                      Health-Care Team!             You Can Use!

Disease Management Programs                                          What to look for on the food label
Disease Management Programs provide support to people with            Check the nutrition facts label for the saturated fat, trans fat,
diseases like diabetes, high blood pressure, asthma, and other       cholesterol, and sodium content of packaged foods
medical problems that do not go away. Nurses teach you ways
                                                                       Processed meats such as hams, sausages, frankfurters, and
to take care of yourself, like eating special diets, taking          luncheon or deli meats have added sodium. Check the ingredients
medicines the right way, and seeing your doctor before little        and nutrition facts label to help limit sodium intake
problems get bigger. They can help you find a Medical Home
and work with your doctor so you do not have to make trips to
                                                                        Fresh chicken, turkey, and pork that have been enhanced with
                                                                     a salt-containing solution also have added sodium. Check the prod-
the emergency room or go in the hospital as often.                   uct label for statements such as “self-basting” or “contains up to
                                                                     __% of __”
Be an Active Member of Your Health-Care Team
                                                                       Lower fat versions of many processed meats are available.
When it comes to using medicine, there is no such thing as           Look on the nutrition facts label to choose products with less fat and
completely safe. All medicines have risks. The U.S. Food and         saturated fat
Drug Administration (FDA) approval of a drug means that the
benefits outweigh the known risks that are outlined on the           Keep it safe to eat
drug's label.
                                                                        Separate raw, cooked, and ready-to-eat foods
Physicians, physician’s assistants, nurses, pharmacists, and            Do not wash or rinse meat or poultry
YOU make up your health-care team. To reduce the risks                  Wash cutting boards, knives, utensils, and counter tops in hot
related to using medicines and to get the maximum benefit, you       soapy water after preparing each food item and before going on to
need to play an active role on the team.                             the next one

Speak Up!
                                                                        Store raw meat, poultry, and seafood on the bottom shelf of the
                                                                     refrigerator so juices don’t drip onto other foods
The more information your health-care team members know               Cook foods to a safe temperature to kill microorganisms. Use a
about you, the better they can develop a plan of care tailored to    meat thermometer, which measures the internal temperature of
you. The members of your team need to know                           cooked meat and poultry, to make sure that the meat is cooked all
                                                                     the way through
   Your medical history                                               Chill (refrigerate) perishable food promptly and defrost foods
                                                                     properly. Refrigerate or freeze perishables, prepared food, and
   Any allergies and sensitivities you have                        leftovers within two hours
   The medications you take routinely and occasionally,              Plan ahead to defrost foods. Never defrost food on the kitchen
     prescription and over-the-counter                               counter at room temperature. Thaw food by placing it in the refrig-
                                                                     erator, submerging air-tight packaged food in cold tap water, or
   Any dietary supplements you use including vitamins and          defrosting on a plate in the microwave
     herbals                                                            Avoid raw or partially cooked eggs or foods containing raw
                                                                     eggs and raw or undercooked meat and poultry.
   Other therapies you use                                         Women who may become pregnant, pregnant women, nursing
                                                                     mothers, and young children should avoid some types of fish and
   Anything that may affect your ability to use the medication     eat types lower in mercury
                                                                     See www.cfsan.fda.gov/~dms/admehg3.html
                                                                     or call 1-888-SAFEFOOD for more information
Page 12              The Road to Good Nutrition                   Your Mississippi                                    Page 29
                     for Everyone                                 Medicaid Medical Home

Why is it important to make lean or low-fat choices from         What is a
the Meat and Beans group?                                        “Medical Home”?
Foods in the meat, poultry, fish, eggs, nuts, and seed group     A “Medical Home” is
provide nutrients that are vital for health and maintenance of   where a Medicaid
your body. However, choosing foods from this group that are      beneficiary gets their
high in saturated fat and cholesterol may have poor health       medical care on a
implications.                                                    regular basis. This allows
                                                                 the health-care provider
Diets that are high in saturated fats raise “bad” cholesterol    and the beneficiary the
levels in the blood. The “bad” cholesterol is called LDL (low-   opportunity to get to
density lipoprotein) cholesterol. High LDL cholesterol, in       know each other better over time. This type of care reduces the
turn, increases the risk for coronary heart disease. Some        cost of nonemergency health care and saves valuable program
food choices in this group are high in saturated fat. These      dollars.
include fatty cuts of beef, pork, and lamb; regular (75% to
85% lean) ground beef; regular sausages, hot dogs, and ba-       What is the "Mississippi Medicaid Medical Home or
con; some luncheon meats such as regular bologna and sa-         (MMMH)”?
lami; and some poultry such as duck. To help keep blood          The Mississippi Medicaid Medical Home is our initiative to
cholesterol levels healthy, limit the amount of these foods      control the cost of our program and insure this Medicaid health
you eat.                                                         care safety net will continue to be available for those who need
Diets that are high in cholesterol can raise LDL cholesterol     it now and in the future. The continuing increase in Medicaid
levels in the blood. Cholesterol is only found in foods from     eligibles and related program costs reflects an urgent need to
animal sources. Some foods from this group are high in cho-      redirect our program.
lesterol. These include egg yolks (egg whites are choles-        How will the MMMH control program costs?
terol-free) and organ meats such as liver and giblets. To help   By redirecting existing program dollars from a pay for service
keep blood cholesterol levels healthy, limit the amount of       strategy to a wellness strategy, we will control DOM’s program
these foods you eat.                                             costs. Our goal is to create a Healthier Mississippi.
A high intake of fats makes it difficult to avoid consuming
more calories than are needed.                                   How will the MMMH create a Healthier Mississippi?
                                                                 1) By making sure only those who are truly qualified for
What are solid fats?                                             Medicaid receive benefits. This will happen by face-to-face
                                                                 determinations and redeterminations conducted by Medicaid
Solid fats are fats that are solid at room temperature, like     staff.
butter and shortening. Solid fats come from many animal
foods and can be made from vegetable oils through a              2) By encouraging all our beneficiaries to participate in low-cost
process called hydrogenation.                                    medical screenings to establish their Medical Home. The use of
Some common solid fats are                                       a “Medical Home,” along with the physical examination, will
                                                                 help our beneficiaries concentrate on wellness and disease
   butter                          pork fat (lard)           avoidance. The physical examination will not be used to
   beef fat (tallow, suet)         stick margarine           determine eligibility for the Medicaid program.
   chicken fat                     shortening
 Page 28                                        Understanding         Information                                           Page 13
                                                  Copayments          You Can Use!

                                                                       Foods high in solid fats include:
                                                                        many cheeses
                        A copayment is a small cost you have          creams
                           to pay for the service you get.
                                                                        ice creams
                                                                        well-marbled cuts of meats
                        Children under the age of 18,                 regular ground beef
Home and                     pregnant women, and persons in             bacon
Community                    nursing homes do not have to pay a
                                                                        sausages
Based Service                copayment.
                                                                        poultry skin
                                                                        many baked goods (such as cookies, crackers, donuts,
                        You do not have to pay a copayment           pastries, and croissants)
HCBS programs                if you are getting family-planning
offer in-home                services or emergency services in         In some cases, the fat in these foods is invisible.
services to help             an emergency room.                        Regular cheese and whole milk are high in solid fat, even
people live at                                                         though it is not visible.
home instead of in                      Reporting Suspected            Most solid fats are high in saturated fats and/or trans fats
institutions.                               Medicaid Fraud             and have lower monounsaturated or polyunsaturated fats.
                                                                       Animal products containing solid fats also contain choles-
To qualify, you                                                        terol.
must meet               What to Do If...
institutional level-                                                   In contrast to solid fats, oils are fats that are liquid at room
                         Your health-care provider is providing
of-care                       a service you think might not be
                                                                       temperature, like the vegetable oils used in cooking. Oils
requirements,                 necessary to treat you                   come from many different plants and from fish.
along with other            You think your health-care provider
                                                                       Some common oils:
criteria. Services            may be billing for a service you did
                                                                          canola oil                       safflower oil
are available to              not receive
                                                                          corn oil                         soybean oil
qualifying                  You know people who are letting
                              others use their Medicaid cards             olive oil                        sunflower oil
elderly, disabled,
                                                                          peanut oil
and/or mentally
                        If you experience any of these situations,
                        please call the Bureau of Program Integrity    Some oils are used mainly as flavorings, such as walnut oil
                        Hotline at 1-800-880-5920.                     and sesame oil. A number of foods are naturally high in oils,
Medicaid                                                               such as:
                                                                          nuts                             some fish
                                                                          olives                           avocados

                                                                       A few plant oils, including coconut oil and palm kernel oil,
                                                                       are high in saturated fats and for nutritional purposes should
                                                                       be considered solid fats.
                                                                       SOURCE: www.mypyramid.gov
Page 14                     The Road to Good Nutrition                                                                               Page 27
                                                                                    Services for Children Only
                            for Everyone
How do I count the solid fats I eat?
This chart gives a quick guide to the amount of solid fats in
some common foods: (Source: www.MyPyramid.gov)
                                                                                                      Other Services for Children
                             Amount          Amount of        Calories   Total                         Lead Screening
                             of food          solid fat      from solid calories                       Well Baby/Child Checkups
                                                                 fat                                   Well Baby/Child Shots (Immunizations)
                                            Teaspoons         Approx.    Approx.                       WIC (Women, Infants, and Children
                                            /grams (tsp/g)    calories   calories                         nutrition and education programs)
Solid Fats:
Shortening                     1 Tbsp         3 tsp/13g        115        115
Butter                         1 Tbsp        2 ½ tsp/12g       100        100
Margarine (hard or stick)      1 Tbsp        2 ½ tsp/11g       100        100
Coconut or palm oil            1 Tbsp         3 tsp/14g        120        120                     Mississippi Health Benefits for
Foods rich in solid fats:
                                                                                                  Health benefits for children from birth to age 19
Heavy cream                    1 Tbsp          1 tsp/5g         50         50                     are provided through Medicaid. Some children
Half and half cream            1 Tbsp        1/2 tsp/2g         15         20                     may be eligible for Medicaid. Other children
                                                                                                  whose families make too much money to qualify
Sour cream                     1 Tbsp        1/2 tsp/2g         20         25                     for Medicaid may be eligible for the Children’s
Whole milk                     1 cup           2 tsp/8g         70        145                     Health Insurance Program (CHIP). Families may
                                                                                                  earn up to 200% of the federal poverty level and
Cheddar cheese                1 1/2 oz        3 tsp/14g        125        170
                                                                                                  be eligible for CHIP. To find out if your children
Ice cream, chocolate           1 cup          3 tsp/14g        125        285                     are eligible for either program, you must fill out
Bacon, cooked               1 1/2 tsp/6g     1 1/2 tsp/6g       55         85                     a Mississippi Health Benefits application. The
                                                                                                  same application is used for Medicaid and CHIP.
Pork sausage                2 links(2 oz)     3 tsp/14g        120        165
                                                                                                  Applications and help filling them out are
Hamburger (80% lean)        cooked(3 oz)      3 tsp/14g        120        205                     available at Medicaid Regional Offices. For
Prime rib, lean & fat       cooked(3 oz)      6 tsp/29g        255        340                     more information call

Prime rib, lean only        cooked(3 oz) 3 1/2 tsp/16g         140        250                     1-877-KIDS-NOW (1-877-543-7669).
Croissant                   1 med.(2 oz)      3 tsp/12g        105        230
Biscuit                       1 small       1 1/2 tsp/6g        50        125
Pound cake                   1 oz slice     1 1/2 tsp/6g        50        110
Cheese Danish                 2 1/2 oz      3 1/2 tsp/16g       135       265
Chocolate cream pie         1/6 of 8” pie     5 tsp/22g         195       345
Page 26   This information is only for those who            Information                                         Page 15
              qualify for full Medicaid benefits            You Can Use!

          EPSDT (Early Periodic Screening,                  Childhood Obesity
                                                            The prevalence of overweight children among those aged 6 to
          Diagnosis, and Treatment)
          The EPSDT Program provides free medical
                                                            11 more than doubled in the past 20 years, going from 7% in
          checkups for all Medicaid-eligible children and   1980 to 16% in 2002. The rate among adolescents aged 12 to
          youth under the age of 21. It also covers         19 more than tripled, increasing from 5% to 16%.1 Overweight
          treatment for medical problems identified as a    is the result of caloric imbalance (too few calories expended
          result of the medical checkup, including some     for the amount of calories consumed) and is determined to
          services not normally covered by Medicaid. To     some extent by genetics and health. An estimated 61% of
          learn more about this program, call the EPSDT     overweight young people have at least one additional risk fac-
          Division of the Bureau of Maternal and Child      tor for heart disease, such as high cholesterol or high blood
          Health at 1-800-421-2408.                         pressure.2 In addition, children who are overweight are at
                                                            greater risk for bone and joint problems, sleep apnea, and
                                                            social and psychological problems such as stigmatization and
                                                            poor self-esteem.3 Overweight young people are more likely
                                                            than children of normal weight to become overweight or
                                                            obese adults and therefore more at risk for associated adult
                                                            health problems, including heart disease, type 2 diabetes,
                                                            stroke, several types of cancer, and osteoarthritis.3 Healthy
                                                            lifestyle habits, including healthy eating and physical activity,
             EPSDT Services
                                                            can lower the risk of becoming overweight and developing
                Additional Drug Prescriptions             related diseases.1
                Additional Eyeglasses
                Additional Home Health Services
                Additional Inpatient Hospital Days
                Additional Outpatient Hospital Days
                Dental Services
                Durable Medical Equipment
                Interperiodic Screens                     References
                Hearing Aids
                Outpatient Psychiatric and Mental         1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR,
                  Health Care                                  Legal KM. Prevalence of overweight and obesity among
                Personal Care Services                       U.S. children, adolescents, and adults, 1999-2002. JAMA
                Prosthetics and Orthotics                    2004;291(23):2847-2850.
                Medical Supplies                          2. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The
                Nursing Services                             relation of overweight to cardiovascular risk factors
                Screening Services                           among children and adolescents: the Bogalusa Heart
                All Standard Medical Benefits Can            Study. Journal of Pediatrics 1999;103(6):1175-1182.
                  Be Expanded (Check with your              3. U.S. Surgeon General. Overweight and Obesity: Health
                  doctor.)                                     Consequences. Web site accessed June 30, 2005.
Page 16            The Road toto Good Nutrition
                    The Road                                                                                          Page 25
                   Physical Activity                                This information is only for those who
                    For Everyone                                    qualify for full Medicaid benefits
Energize Your Life!
                                                                       Office Visits and Family Planning
Who said physical activity is all work and no play?
In fact, it can be just the opposite! There is no need to think
of strenuous workouts that are painful and boring. Instead,
imagine doing fun physical activities you enjoy and look for-
ward to. Do physical activity for enjoyment and watch the
health benefits follow!
                                                                   Prescription Drugs
The United States is on the brink of a longevity revolution. By
2030, the number of older Americans will have more than
doubled to 70 million, or one in every five Americans. The
growing number and proportion of older adults places in-
creasing demands on the public health system and on medi-
cal and social services.                                                  Non-Emergency Transportation
Chronic diseases pose a particularly heavy health and eco-
nomic burden on older adults due to associated long-term
illness, diminished quality of life, and greatly increased
health-care costs. Although the risk of disease and disability
clearly increases with advancing age, poor health is not an
inevitable consequence of aging.                                                 Covered Services also Include
                                                                                  Ambulatory Surgical Center
Much of the illness, disability, and death associated with                        Chiropractic Services
chronic disease is avoidable through known prevention                             Dental Extractions and Related Treatment
measures. Key measures include practicing a healthy life-
                                                                                  Dialysis Services
style (e.g., regular physical activity, healthy eating, and
avoiding tobacco use) and the use of early detection prac-                        Durable Medical Equipment
tices (e.g., screening for breast, cervical, and colorectal can-                  Emergency Ambulance Services
cers, diabetes and its complications, and depression).                            Hospice Services
                                                                                  Laboratory Services
Critical knowledge gaps exist for responding to the health
needs of older adults. For chronic diseases and conditions,                       Radiology
such as Alzheimer's disease, arthritis, depression, psychiat-                     Medical Supplies
ric disorders, osteoporosis, Parkinson's disease, and urinary                     Mental Health Services
incontinence, much remains to be learned about their distri-
bution in the population, associated risk factors, and effec-                     Physician Services, Physician’s Assistant
tive measures to prevent or delay their onset.                                        Services, Nurse Practitioner Services
                                                                                    Physical, Occupational, Speech Therapy

Source: Division of Adult and Community Health, National Center
                                                                                    Transplants
        for Chronic Disease Prevention and Health Promotion
Page 24     This information is only for those who    I n f Road i
                                                     The o r m a ttoo n                                  Page 17
                qualify for full Medicaid benefits    You C
                                                     Endinga n U s e ! Use
                                                      The Burden of Tobacco Use
                                Eyeglasses            An estimated 45.8 million adults in the United States smoke
                                                      cigarettes, even though this single behavior will result in
                                                      death or disability for half of all regular smokers. Tobacco
                                                      use is the leading preventable cause of death in the United
                                                      States, resulting in approximately 440,000 deaths each year.
                                                      More than 8.6 million people in the United States have at
                                                      least one serious illness caused by smoking. If current pat-
Home Health Services                                  terns of smoking persist, 6.4 million people currently
                                                      younger than 18 will die prematurely of a tobacco-related
                                                      disease. Paralleling this enormous health toll is the economic
                                                      burden of tobacco use: more than $75 billion per year in
                                                      medical expenditures and another $80 billion per year re-
                                                      sulting from lost productivity.
                                                      Since 1964, 28 Surgeon Generals’ reports on smoking and
                            Hospital Care             health have concluded that tobacco use is the single most
                                Inpatient             avoidable cause of disease, disability, and death in the
                                                      United States. Over the past four decades, cigarette smoking
                                                      has caused an estimated 12 million deaths, including 4.1 mil-
                                                      lion deaths from cancer, 5.5 million deaths from cardiovascu-
                                                      lar diseases, 2.1 million deaths from respiratory diseases,
                                                      and 94,000 infant deaths related to mothers’ smoking during
Hospital Care                                         pregnancy.
Outpatient                                            Smokeless tobacco, cigars, and pipes also have deadly con-
                                                      sequences, including lung, larynx, esophageal, and oral can-
                                                      cers. Low-tar cigarettes and other tobacco products are not
                                                      safe alternatives.

          Inpatient Psychiatric Care

Care Services                                        If you are a Medicaid beneficiary, ask your health-care provider
                                                     about how we can help you quit tobacco! We cover nicotine re-
                                                     placement gum and patches, too! Contact your provider today!
Page 18                      The Road to Ending                   Information                                           Page 23
                             Tobacco Use                          You Can Use!

The harmful effects of smoking do not end with the smoker.                                             Medicaid Identification
Babies of women who smoke during pregnancy are more                                                    Card
likely to have lower birth weights, an increased risk of death                                         Once Medicaid eligibility has
from sudden infant death syndrome, and respiratory dis-                                                been approved, each
tress. In addition, secondhand smoke has harmful effects on                                            Medicaid-eligible member in
nonsmokers. Each year, primarily because of exposure to                                                a family will get a plastic
secondhand smoke, an estimated 3,000 nonsmoking Ameri-                                                 Identification (ID) Card. The
cans die of lung cancer, and more than 35,000 die of heart                                             beneficiary name and ID
disease.                                                                                               number are printed on this
An estimated 150,000 - 300,000 children younger than 18                                                card.
months of age have lower respiratory tract infections be-        Fair Hearings
cause of exposure to secondhand smoke.                           An eligibility hearing is a legal     Things You Must Do To
Although smoking rates fell among high school students           process that you may ask for if       Get Health-Care Services
from 2000 to 2002, they did not decline significantly among      you do not agree with a decision      Always remember to take
middle school students. This lack of progress suggests the       that has been made about your         your Medicaid ID card every
need for greater use of proven antismoking strategies and        Medicaid eligibility.                 time you go to get health
for new strategies to promote further declines in youth          After you have been mailed a          services. Remember, not all
smoking.                                                         notice telling you of any action(s)   doctors, dentists, and other
                                                                 taken on your Medicaid case, you      providers accept Medicaid.
          442,398 U.S. Deaths Attributable Each Year             will have 30 days in which to ask     You should always ask the
                    to Cigarette Smoking*                        for a hearing. You may do this by
                                                                                                       provider if he/she accepts
                                                                 either writing your Medicaid Re-
                                                                 gional Office, the Medicaid State
                                                                                                       Medicaid before you get
                                                                 Office, or by completing the          services.
                                                                 “Hearing Request” form, avail-
                                                                 able in your Medicaid Regional        You need to make sure
                                                                 Office.                               your provider takes
                                                                 If you are already getting Medi-      Medicaid.
                                                                 caid or CHIP and you ask for a         You need to ask your
                                                                 hearing within 10 days after get-        provider if the service/
                                                                 ting the notice, your Medicaid           test/procedure is covered
                                                                 will not stop until your case has
                                                                                                          by Medicaid before the
                                                                 been decided. CHIP benefits will
                                                                 be continued for the next possi-         service is performed.
                                                                 ble month. However, if the             If a service that is not
                                                                 agency’s action is upheld by the         covered by Medicaid
                                                                 hearing decision, the Division of        policy is performed, then
                                                                 Medicaid has the right to initiate       the provider can bill you
                                                                 action for recovering benefits           and expect you to pay for
                                                                 you receive during the hearing           the service.
 *Average annual number of deaths, 1995–1999.                    process.
 Source: MMWR 2002;51(14):300–3.
                                                                 NOTE: Please show your Medicaid ID card whenever you get
                                                                 medical services.
 Page 22                     Things You Need to Know
                                                                     The Road to Ending                                 Page 19
                                                                     Tobacco Use

                                                                     Adolescent Tobacco Use
                        Freedom of Choice                            Tobacco use, including cigarette smoking, cigar smoking,
                        Most Medicaid beneficiaries may              and smokeless tobacco use, is the single leading prevent-
                        choose the doctor or clinic they wish to     able cause of death in the United States. Each year, smoking
                        use. The doctor or clinic must be willing    causes approximately 435,000 premature deaths and over 5
                        to accept Medicaid payments.                 million years of potential life lost.1 Every day, approximately
                                                                     4,000 American youth aged 12-17 try their first cigarette.2 If
                                                                     current patterns of smoking behavior continue, an estimated
                                                                     6.4 million of today's children can be expected to die prema-
                                                                     turely from a smoking-related disease.3 In 2003, 22% of high
                                                                     schools students reported current cigarette use and 15%
                        Other Health Insurance                       reported current cigar use. In addition, 7% of high school
                        You must report to Medicaid any health       students and 13% of white male high school students re-
                        insurance you may have. If you have          ported current smokeless tobacco use.4
                        health insurance and Medicaid, you
                        must give your insurance information to
                        your doctor when you get services. In
                        order to be eligible for Medicaid, you
                        must assign your rights to medical
                        payments from any source to the              References
                        Division of Medicaid.
                                                                     1. Fellows JL, Trosclair A, Adams EK, Rivera CC. Annual
                        Civil Rights                                    smoking attributable mortality, years of potential life lost
                        Participating providers of services in          and economic costs: United States 1995-1999. Morbidity
                        the Medicaid program must comply                and Mortality Weekly Report 2002;51:300-303.
                        with the requirements of Title VI of the     2. Substance Abuse and Mental Health Services Admini-
                        Civil Rights Act of 1964, Section 504 of        stration. Summary of findings from the 2001 National
                        the Rehabilitation Act of 1973, and             Household Survey on Drug Abuse: Volume II. Technical
                        Section 504 of the Rehabilitation Act of        appendices and selected data tables. Rockville, MD: U.S.
                        1973. Under the terms of those laws, a          Department of Health and Human Services, 2002;NHSDA
                        participating provider or vendor of             Series H-18;DHHS publication no. (SMA) 02-3759.
                        services under any program using
                                                                     3. CDC. Office on Smoking and Health, 2002 calculations
                        federal funds is prohibited from making
                                                                        based upon: Smoking attributable mortality and years of
NOTE: The Office of     a distinction in the provision of services
                                                                        potential life loss—United States, 1984. Morbidity and
the Governor,           to beneficiaries on the grounds of race,
Division of Medicaid                                                    Mortality Weekly Report 1997;46:444-451.
                        age, gender, color, national origin, or
(DOM), is responsi-     disability. This includes distinctions       4. Grunbaum JA, Kann L, Kinchen S, Ross J, Hawkins J,
ble for investigating   made on the basis of race or disability         Lowry R, et al. Youth Risk Behavior Surveillance—United
complaints of non-      with respect to (a) waiting rooms, (b)          States, 2003. Morbidity and Mortality Weekly Report
compliance.             hours for appointments, or (c) order of         2004;53(SS-2):1-95.
                        seeing patients.
 Page 20                       My Medicaid                Information                                Page 21
                                                          You Can Use!

What Is Medicaid?
Medicaid is a health-care program that pays for              Regional
medical services for qualified people. Medical                Offices
payments are made from both state and federal
government monies.
                                                         Brandon 601-825-0477         Kosciusko 662-289-4477
Who Can Get Medicaid?                                    Brookhaven 601-835-2020      Laurel 601-425-3175
If you live in Mississippi, you may qualify for Medi-    Canton 601-978-2399          McComb 601-249-2071
caid. If you need medical assistance, you must fill      Clarksdale 662-627-1493      Meridian 601- 483-9944
out an application to find out if you qualify for this   Cleveland 662-843-7753       Natchez 601-445-4971
program. Anyone who meets the Medicaid stan-             Columbia 601-731-2271        New Albany 662-534-0441
dards, such as certain low-income-level persons;         Columbus 662-329-2190        Newton 601-635-5205
pregnant women; children; aged; blind; or dis-           Corinth 662-286-8091         Pascagoula 228-762-9591
abled persons, can receive Medicaid.
                                                         Greenville 662-332-9370      Philadelphia 601-656-3131
Where do I apply for Medicaid?                           Greenwood 662-455-1053       Picayune 601-798-0831
                                                         Grenada 662-226-4406
You may apply for Medicaid for low-income fami-                                       Senatobia 662-562-0147
lies and children under 19 and pregnant women at         Gulfport 228-863-3328
                                                                                      Starkville 662-323-3688
your Medicaid Regional Office. You may call    1         Hattiesburg 601-264-5386
                                                                                      Tupelo 662-844-5304
-800-421-2408 to locate your nearest Medicaid            Holly Springs 662-252-3439
                                                                                      Vicksburg 601-638-6137
Regional Office.                                         Jackson 601-978-2399
                                                                                      Yazoo City 662-746-2309

If you are disabled, working disabled, or 65 or
older and not receiving Social Security income,
you may apply for benefits at the Medicaid Re-           You may call any of the offices listed above to find
gional Offices listed on the next page.                  out how to apply. You may also receive an
                                                         application by mail. Call your local Medicaid
                                                         Regional Office to find out more.

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